胆囊管控制下全腹腔镜保胆取石术的临床应用

Clinical application of full laparoscopic cholecystectomy under gallbladder duct control

目的探讨胆囊管控制下全腹腔镜保胆取石术的可行性及手术要点。方法回顾分析2015年1月至2018年4月昆山市中医院使用常规腹腔镜器械实施的30例胆囊管控制下全腹腔镜下保胆取石术患者的临床资料。结果 30例手术均获成功。手术时间30～60分钟[平均(45±5.6)分钟)],术中出血5～45 ml[平均(15±3.2ml)],术后均无胆漏、出血、切口感染等并发症发生。住院时间3～6天[平均(4±1.1)天]。结论利用普通腹腔镜器械行胆囊管控制下全腹腔镜保胆取石术是可以安全完成的,具有微创、术后并发症少、康复快、结石残余率低及胆囊功能良好等优势,已成为治疗无明显症状且胆囊收缩功能良好的胆囊结石患者的首选术式。

Objective To investigate the feasibility and operative points of full laparoscopic cholecystectomy under gallbladder duct control.Methods The clinical data of 30 cases of cholecystotomy under full laparoscopic control under gallbladder duct were analyzed retrospectively from January 2015 to April 2018.Results All 30 cases were successful.The operating time was 30 to 60 min(average 45±5.6 min),and the intraoperative hemorrhage was 5 to 45 ml(average 15±3.2 ml).There were no complications such as bile leakage,bleeding,and incision infection.Hospital time 3 to 6 d(average 4±1.1d).Conclusion Total laparoscopic cholecystotomy under the control of gallbladder duct with normal laparoscopic instruments can be performed safely,with minimally invasive surgery,fewer complications,rapid recovery,and stone residue.